Stable angina pectoris CCS II-IV MedDRA version: 14.1 Level: LLT Classification code 10049194 Term: Stable angina pectoris System Organ Class: 10007541 - Cardiac disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Stable angina CCS II-IV despite maximum pharmacotherapy for at least 2 weeks since last medications change 2. Presence of = 1 miocardium segment with ischemia features in Tc-99m SPECT 3. Patients disqualified from revascularization procedures by heart-team 4. Patient age > 18 and =65 years) yes F.1.3.1 Number of subjects for this age range 30
Exclusion criteria
Exclusion criteria: 1. acute coronary syndrome in less than 6 months prior to enrollment 2. heart failure NYHA III-IV 3. LVEF<35% 4. presence of intracardiac thrombus (echocardiography confirmed), massive calcification of the aortic valve and left ventricular aneurysm 5. status after cardioverter defibrillator or cardiac stimulator implantation 6. allergy to contrast agents 7. malignancy in medical interview 8. HIV, HBV, HCV infection 9. status associated with life expectancy less than 6 months 10. bleeding diathesis 11. renal insufficiency (GFR < 30 mL/min/1.73m2) 12. pregnancy, lactation, or lack of effective contraception in women of childbearing age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: 1. Assessment of influence of direct administration of isolated from bone marrow, autological CD133+ cells on improvement of myocardial perfusion and function and decrease of occurrence of symptomatic angina of patients with angina resistant to pharmacological treatment without possibility of effective revascularization 2. Assessment of therapy safety ;Secondary Objective: ;Primary end point(s): Myocardial perfusion change assessed by perfusion scintigraphy (99mTc SPECT) 4 months after application of cell therapy ;Timepoint(s) of evaluation of this end point: 4 months after application of cell therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. global and segmental contractility change and myocardial perfusion change assessed by magnetic resonance imaging with adenosine administration, and echocardiography with contrast 2. exercise tolerance assessed in a treadmill test (TET, ESTD, TTLA) 3. occurrence of symptomatic angina (CCS, nitrates usage) 4. quality of life assessed by standard questionnaires (SF37, Seattle Angina) ;Timepoint(s) of evaluation of this end point: 1. 4 months after application of cell therapy 2. 4 and 6 months after application of cell therapy 3. 1, 4, 6 and 12 months after application of cell therapy 4. 1, 4, 6 and 12 months after application of cell therapy | — |
Countries
Poland